Objective: To evaluate the efficacy and safety of fire needle therapy in the treatment of gouty arthritis. Methods:The randomized controlled trials (RCTs) of fireneedle therapy for gout arthritis were searched by computer for PubMed, The Cochrane Library, EMBASE, Web of Science, Chinese National Knowledge Infrastructure( CNKI), Wanfang database, VIP databases and Chinese biomedical literature database(CBM). The retrieval period was from establishment of The database to May 2020.Two researchers independently screened the literature, extracted the data and evaluated the risk of bias included in the study, then Meta analysis was performed using RevMan5.3 software.